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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Cash flows from operating activities:    
Net income $ 102,967 $ 90,961
Less: Loss from discontinued operations, net of tax (998) (445)
Net income from continuing operations 103,965 91,406
Adjustments to reconcile net income from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 127,433 109,689
Amortization of debt issuance costs 4,333 4,936
Provision for bad debt and claim losses 11,064 6,328
Share-based compensation 29,859 26,419
Excess tax benefit related to stock options (2,352) (6,284)
Equity in earnings of affiliates, net of taxes (595) (11,931)
Gain on sale of property and equipment (21) (91)
Deferred income tax 10,283 (1,713)
Loss on early extinguishment of debt and other, net 17,088 3,494
Change in operating assets and liabilities, net of acquisitions:    
Accounts receivable (36,737) (23,570)
Prepaid expenses and other current assets (8,671) 3,420
Accounts payable and accrued expenses (3,393) (8,392)
Deferred revenue 35,814 56,373
Income taxes 32,981 2,072
Dividends received from investments in affiliates 8,773 26,516
Other assets and other liabilities (12,550) (19,008)
Net cash provided by operating activities - continuing operations 317,274 259,664
Net cash used in operating activities - discontinued operations (468) (7,584)
Total cash provided by operating activities 316,806 252,080
Cash flows from investing activities:    
Purchase of subsidiary shares from noncontrolling interests (18,023) 0
Purchases of property and equipment (35,156) (30,009)
Purchases of capitalized data and other intangible assets (27,212) (27,706)
Cash paid for acquisitions, net of cash acquired (396,816) (119,346)
Purchases of investments (3,366) (3,748)
Proceeds from sale of property and equipment 21 94
Proceeds from sale of investments 2,451 0
Change in restricted cash 1,990 1,496
Net cash used in investing activities - continuing operations (476,111) (179,219)
Net cash provided by investing activities - discontinued operations 0 0
Total cash used in investing activities (476,111) (179,219)
Cash flows from financing activities:    
Proceeds from long-term debt 915,000 114,375
Debt issuance costs (6,314) (6,452)
Repayment of long-term debt (647,286) (46,999)
Debt extinguishment premium (14,246) 0
Proceeds from issuance of shares in connection with share-based compensation 13,119 19,554
Tax withholdings related to net share settlements (9,544) (14,425)
Shares repurchased and retired (112,961) (97,430)
Excess tax benefit related to stock options 2,352 6,284
Net cash provided by/(used in) financing activities - continuing operations 140,120 (25,093)
Net cash provided by financing activities - discontinued operations 0 0
Total cash provided by/(used in) financing activities 140,120 (25,093)
Effect of exchange rate on cash (890) 6,757
Net change in cash and cash equivalents (20,075) 54,525
Cash and cash equivalents at beginning of period 99,090 104,677
Less: Change in cash and cash equivalents - discontinued operations (468) (7,584)
Plus: Cash swept to discontinued operations (468) (8,118)
Cash and cash equivalents at end of period 79,015 158,668
Supplemental disclosures of cash flow information:    
Cash paid for interest 45,075 40,968
Cash paid for income taxes 12,633 40,946
Cash refunds from income taxes 489 3,559
Non-cash investing activities:    
Capital expenditures included in accounts payable and accrued liabilities $ 4,105 $ 5,353